EL-18-2341Miami Shores Village
10050 NE 2 Ave
Miami Shores Village FL 33138
305-795-2204
Location Address
Permit NO.: EE-8-1.3-2341
- -} Permit Type: Electrical - Residential
_ J1., Work Classification: Temp for Construction
Permit Status: Approved
Issue Date: 09/24/2018
Parcel Number
Expiration: 03/24/2019
Project
9104 NE 10 AVE, Miami Shores, FL
1132060030100
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Contacts
RAFAEL CORDERO
200 BISCAYNE BLVD 909, MIAMI SHORES, FL 33131
Owner
CITYWIDE ELECTRICAL SERVICE LLC
(786)367-7733
Contractor
Description: TEMP FOR CONSTRUCTION
Fees
Amount
CCF $0.60
DBPR Fee $2.00
DCA Fee $2.00
Education Surcharge $0.20
Permit Fee - Additions/Alterations $100.00
Scanning Fee $3.00
Technology Fee $0.80
Total: $108.60
RAFAEL CORDERO
200 BISCAYNE BLVD 909, MIAMI SHORES, FL 33131
Applicant
Valuation: $ 500.00
Total Sq Feet: 0.00
Payments
Total Fees
Credit Card
Amount Due:
Amt Paid
$108.60
$108.60
$0.00
Inspection Requests:
Inspections:
Inspection Type
Work With Inspection
Electrical Final
Permit Received By Date
Building Department Copy
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate
permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I
regulating construc
Autho . 1
certify that all the foregoin information is accurate and that all work will be done in compliance with all applicable laws
zoning. Futhermore, I au rrii e the above named contractor to do the work stated.
e: Owner / App ant / Contractor / Agent Date
September 24, 2018 Page 2 of 4
Address: City:
Value of Work for this Permit: $ t O4)ea •
Type of Work: ❑ Addition ❑ Alteration
Description of Work: TM , riO I1-
1.1
BUILDING
PERMIT APPLICATION
❑BUILDING Id ELECTRIC
❑PLUMBING ❑ MECHANICAL
Miami Shores Village
Budding Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20r7
Master Permit No. 2
Sub Permit No. F' L I �� J
❑ ROOFING ❑ REVISION ❑ EXTENSION 7RENEWAL
PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION 7 SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 110 `$ E 404 A V E
City: Miami Shores
Folio/Parcel#: I 1 - 3ZO- l.V3 - 0100
Occupancy Type: Load:
County: V vtt Miami Dade •Zip: J3(9O
Is the Building Historically Designated: Yes NO
Construction Type: Flood Zone:
BFE: FFE:
OWNER: Name (Fee Simple Titlehhold r): (YI t�i���• J3 E VtbYke r o Phone#:
Address: 9104 NE I •
State:
City: t 6� ; 0 t U (-6,6
Zip: ',"1?14U>
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: L411 '• W I b G ) §0V Phone#: 1O'al-��3
Address: 543 C42 E Co
City: . 4'1-1,Fri State:
Qualifier Name: V---pOtLLE.-
State Certification or Registration #: gg 1,015114 • Certificate of Competency #: I & ,E n 006 2-2 .
DESIGNER: Architect/Engineer: Phone#:
State: Zip:
•
Zip: -7) ra QQ
Phone#:'$Cd . 3 (p'1-11 J3
Square/Linear Footage of Work:
[l New ❑ Repair/Replace
:.r cx-Y-th-ut-hern
n Demolition
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Permit Fee $ le)/9/ CIO
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
CCF $ ti:'rCO/CC;$
DBPR $ • CC. Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ '
•
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC
whose property is subject to atic
for the first sp; c ion
inspe ionwil no
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning. ` C
• i 4t."\' -t 4 4
"WARNING 'TO OWNER: YOUR FAILURE TO `RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR'PROPERTY: `IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
- / :a
Notice to Applicant: As a ciindition to the issuance of a building permit with an estimated value'exceedind$2500, the applicant must
promise in good faith that a 4od y of the notice of commencement and construction lien law, brochure will be deliveredto the person
� •
ment. Also, a certified copy of the'rec'orded notice of commence -+ must'be posted, the job site
whic occ rs seven (7) days after the building permit is issued. In the 411 1 ce of such posted notice, the
fir+ a d a reinspection fee will be charged.
®err
� 1
Signature
•
Signatu
TRACTOR 1
Li + w - Q 4
The foy going instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
r
%J 20 f �J by . -. day of , 20 '7 , by
%axP�sSf' Lsd1lbY known to
OWNER or AGENT
who is personally known to
me or who has produced as me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
as
identification and who did take c.n oath.
NOTARY PUBLIC:
Sign:
Print:
\\\lllll// V •-N
Seal: S�q�'pe��,� Barbara Moreno Seal: »':°''� Bonded nn+ Public r*� '�'= Commission GG170164 `
.%�••Expires: January 11, 2022
r1 mr11. Bonded Him Aaron Notary I' w,. r 1
t.ry
,APPROVED BY
a
6 / °Plans Examiner Zoning
Structural Review 4 Clerk
(Revised02/24/2014)